NOTICE OF ASSESSMENT OF APARTMENT PROPERTY                                                                                                 FORM 11-A 
        State Form 57328 (R1 / 4-24) 
        Prescribed by the Department of Local Government Finance 

                                                                                                                 THIS IS NOT A TAX BILL 
                   County Contact/Address 
                                                                                                                 APPEAL DEADLINE IS: 

                                                                                                                                [Appeal Deadline] 

                                                                                                                                QR Code 

                   Name and Address of Property Owner 

                                                                                                                         Scan the QR code for access to 
                                                                                                                         your property record card. 

Legal Description                                                                                                Parcel or Identification Number 

Property Address (number and street, city, state, and ZIP code) 

This notice indicates the assessed value of your property. Information on the valuation of your property and a copy of the property record card can be obtained 
from the assessing official at the telephone number and address below. Indiana Code 6-1.1-4-39 requires the assessor to value of residential accommodations 
with more than four (4) units rented for periods of thirty (30) days or more at the lowest value determined under the three (3) appraisal approaches. 
Furthermore, IC 6-1.1-4-39(f) specifies that the assessor must annually report the values determined under the three (3) appraisal approaches to the taxpayer. 
These values are determined without modifiers, adjustments, or other trending factors. 
Notice to the taxpayer of the opportunity to appeal (IC 6-1.1-15-1.1, 1.2): If the taxpayer does not agree with the action of the assessing official giving this 
notice, an appeal can be initiated to challenge that action. To file an appeal, the taxpayer must file a Form 130, Taxpayer's Notice to Initiate an Appeal, with the 
township assessor or county assessor in a timely manner. The time-frame to file an appeal on the assessment contained in this notice may have two different 
filing deadlines. These deadlines are based on the date that this notice is mailed. If this notice is mailed before May 1 of the assessment year, the filing deadline 
is June 15 of that year. If this notice is mailed on or after May 1 of the assessment year, the filing deadline is June 15 in the year that the tax statements are 
mailed. (IC 6-1.1-15-1.1) This form is available from the assessing official or at: https://forms.in.gov/Download.aspx?id=6979. An assessing official who receives 
a Form 130 must schedule a preliminary informal meeting with the taxpayer in order to resolve the appeal. The assessing official and taxpayer must exchange 
the information each party is relying on at the time of the preliminary informal meeting to support the party's respective position on each disputed issue 
concerning the appeal. If the taxpayer has reason to believe that the township assessor, county assessor, an employee of the township assessor or county 
assessor, or an appraiser has violated IC 6-1.1-35.7-3 or IC 6-1.1-35.7-4(a), the taxpayer may submit a written complaint to the Department of Local 
Government Finance under IC 6-1.1-35.7-4(b).  NOTE: Failure to file a timely Form 130 can be grounds for dismissal of an appeal. 

SALES COMPARISON APPROACH VALUATION 

COST APPROACH VALUATION 

INCOME CAPITALIZATION APPROACH VALUATION 

Did the taxpayer submit specific income and expense information for development of the income capitalization approach by ☐      Yes              ☐  No
January 1 as required by IC 6-1.1-4-39(d)? 
If information was submitted, was it used to determine the value under the Income Capitalization Approach above?         ☐      Yes              ☐  No

                   PREVIOUS ASSESSMENT                                                 NEW ASSESSMENT EFFECTIVE JANUARY 1, 20__ 
LAND                                                                      LAND 
STRUCTURES/                                                               STRUCTURES/ 
IMPROVEMENTS *                                                            IMPROVEMENTS * 
TOTAL                                                                     TOTAL 
County                                                          Township                                                        Date of Notice (month, day, year) 

Assessing Official                                                                                               Telephone Number 
                                                                                                                 (            ) 
Address (number and street, city, state, and ZIP code)